Addressing Health-Related Social Needs Under NYHER

Health-related social needs (HRSNs) are social and economic needs that can impact a person’s health and well-being. Examples include lack of stable or affordable housing, lack of access to healthy food, lack of access to transportation, financial strain and/or unemployment, and personal safety.

Social Care Network (SCN) Lead Entities are responsible for coordinating the network for and delivery of HRSN Services.

Which HRSN Services Are Covered by NYHER?

OHIP establishes criteria to determine Medicaid Member eligibility to receive specific, evidence-based HRSN services (e.g., housing supports, nutrition, transportation, care management) reimbursed using Medicaid dollars. These reimbursed HRSN services are referred to as Enhanced HRSN Services. Medicaid Members who have identified HRSNs but do not meet specific eligibility criteria will be navigated to HRSN services delivered by pre-existing state, federal, and local  programs.

Enhanced HRSN services reimbursable under the NYHER 1115 Waiver Program span four categories:

Enhanced HRSN Services are delivered by organizations that contract with an SCN to deliver a specific set of services to qualifying Medicaid Managed Care Members for reimbursement for those services via NYHER. For details on healthy homes support available under NYHER, including Asthma Remediation Enhanced Services, click ở đây.

What is the Medicaid Member Journey?

The process for a Medicaid Member to access HRSN Services under NYHER begins with a screening to identify health-related social needs (HRSN) using the Accountable Health Communities tool as pictured in the below journey map:

Tìm hiểu thêm về NYHER và các dịch vụ điều trị hen suyễn

Mạng lưới Chăm sóc Xã hội (SCNs)

Dịch vụ đáp ứng nhu cầu xã hội liên quan đến sức khỏe (HRSN)

Tài nguyên & Đào tạo

Có câu hỏi nào không?

  • Các câu hỏi và/hoặc phản hồi liên quan đến NYHER và Mạng lưới Chăm sóc Xã hội có thể được gửi qua email đến [email protected]
  • Hiệp hội Phổi Hoa Kỳ (American Lung Association) cung cấp hỗ trợ kỹ thuật liên quan đến Dịch vụ Hệ thống Phục hồi Chất lượng Không khí (HRSN) về hen suyễn của NYHER thông qua Chương trình Hen suyễn Trẻ em của Bang New York (NYS Children’s Asthma Initiative). Để biết thêm thông tin, vui lòng sử dụng trang web của chúng tôi. Biểu mẫu liên hệ hoặc gửi email đến NYSCAI Ở đây.